СПОСОБ ДВУХЭТАПНОГО ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ДЕФОРМАЦИИ ПОЗВОНОЧНИКА С ИСПОЛЬЗОВАНИЕМ АУТОКОНСЕРВАЦИИ РЕЗЕЦИРОВАННОГО АУТОРЕБРА И СУХОЙ ВЕРТИКАЛЬНОЙ ГАЛО-ТРАКЦИИ
FEDERALNOE GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE "TSENTRALNYJ NAUCHNO-ISSLEDOVATELSKIJ INSTITUT TRAVMATOLOGII I ORTOPEDII IMENI N.N. PRIOROVA" MINISTERSTVA ZDRAVOOKHRANENIJA ROSSIJSKOJ FEDERATSII (
发明人:
KOLESOV SERGEJ VASILEVICH,Колесов Сергей Васильевич,SNETKOV ALEKSANDR ANDREEVICH,Снетков Александр Андреевич,SAZHNEV MAKSIM LEONIDOVICH,Сажнев Максим Леонидович
申请号：
RU2013119845/14
公开号：
RU0002522957C1
申请日:
2013.04.29
申请国别(地区):
RU
年份:
2014
代理人:
摘要：
FIELD: medicine.SUBSTANCE: ventral release is performed at an apex of deformity from a thoracotomic approach. That is followed by a discectomy and resection of arch laminae with interbody spaces filled with a haemostatic sponge. A seventh, or an eight, or a ninth rib for an autograft are resected. The autograft is placed in subcutaneous fat and fixed to the underlying tissues. A pleura, muscles and fascias are closed. On the 2nd-3rd day following the completion of the first stage, a dry halotraction is performed till the stage of a dorsal spinal. A sterile halo-ring is placed on a patients head the ring comprises threaded holes created in its body perpendicular to its axis the threaded holes comprise mounted threaded metal screws that are halotraction rods with pointed ends. The halotraction rods are moved in the halo-ring holes, brought to skull bones and screwed into a cortical layer of the bone to a layer of an internal cortical plate. A pre-set halotraction session is performed. The autograft is removed through an incision in the postoperative scar from a pocket, cleaned from soft tissues and processed in an antiseptic solution. That is followed by a dorsal spinal correction with using metal fixing elements with the autograft placed on the decorticated posterior elements of the spine. An autograft portion is placed in the form of autochips on the decorticated posterior elements. The halotraction procedure involves the metal halo-ring made of titanium or its alloys, the halotraction rods and fixing elements.EFFECT: preparing the adequate posterior spondylosyndesis with recovered configuration of the spinal canal.4 clИзобретение относится к медицине, а именно к вертебрологии.Проводят вентральный релиз на вершине деформации из торакотомного доступа. Осуществляют дискэктомию и резекцию замыкательных пластин с последующим заполнением межтеловых пространств гемостатической губкой. Резецируют седьмое, или восьмое, или девятое ребро для аутотрансплантата. Размещают ауто
